On December 18, 2025, the Department of Justice announced a $54.4 million settlement with Ceratizit USA LLC, a distributor of tungsten carbide products, to resolve allegations that the company evaded customs duties on goods imported from China. The settlement is the largest customs fraud resolution in False Claims Act history. The whistleblower who brought the case to the government's attention received a share of the recovery under the law.The Ceratizit case did not arise in isolation. It … [Read more...]
Medicare Advantage Fraud and AI: How Artificial Intelligence Is Being Used to Defraud Medicare
On January 14, 2026, the Department of Justice announced that five Kaiser Permanente affiliates had agreed to pay $556 million to resolve False Claims Act allegations that they submitted unsupported diagnosis codes for Medicare Advantage enrollees to inflate reimbursements from the federal government. The settlement is the largest False Claims Act resolution involving Medicare Advantage risk adjustment fraud in history. Whistleblowers who brought the case received a share of the recovery.The … [Read more...]
Sutter Health Medicare Advantage Fraud Case Shows the Power of Whistleblowers
In August 2021 Sutter Health agreed to pay $90 million to settle allegations that it submitted inaccurate diagnosis data to inflate Medicare Advantage payments. The case began with a whistleblower. This page explains how the fraud worked and what it means for people working in Medicare Advantage.Sutter Health Medicare Advantage Fraud Case Shows the Power of WhistleblowersIn August 2021, Sutter Health and several affiliated medical foundations agreed to pay $90 million to settle allegations … [Read more...]
Pharmaceutical Fraud: Off Label Marketing, Kickbacks, and False Claims Act Liability
Pharmaceutical companies have produced some of the largest False Claims Act settlements in history, driven by off label marketing and kickbacks to physicians. This page explains what conduct creates liability and how the False Claims Act protects the people who report it.Pharmaceutical Fraud: Off Label Marketing, Kickbacks, and False Claims Act LiabilityPharmaceutical companies have produced some of the largest False Claims Act settlements in history, and enforcement in this area continues … [Read more...]
Hospital Billing Fraud: Common Red Flags for Whistleblowers
Hospital Billing Fraud: Common Red Flags for WhistleblowersHospitals and health systems are among the most frequent targets of False Claims Act enforcement. The Department of Justice recovered over $5.7 billion in healthcare fraud settlements in fiscal year 2025 alone, the highest total ever recorded. A significant portion of that recovery came from cases involving hospitals, and many of those cases began with someone on the inside who noticed something wrong and came forward.If you work … [Read more...]
- « Previous Page
- 1
- …
- 5
- 6
- 7
- 8
- 9
- …
- 65
- Next Page »